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与机会性泌尿生殖系统感染相关的炎症性疾病对女性生殖系统激素功能的影响。

The effect of inflammatory diseases associated with opportunistic urogenital infection on the hormonal function of the female reproductive system.

作者信息

Azat Rasimovich Abdrakhmanov, Rasim Mindrakhmanovich Abdrakhmanov

机构信息

Reproductive Health Research Center, Institute of Fundamental Medicine and Biology, Kazan Federal University, Kazan, Russia.

University Kazan Clinic, Kazan Federal University, Kazan, Russia.

出版信息

Int J Reprod Biomed. 2018 Nov;16(11):697-702.

PMID:30775685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6350851/
Abstract

BACKGROUND

Sexually transmitted infections play a great role in formation of inflammatory diseases of female urogenital system. These diseases can cause a decrease in the level of female sex hormones, as well as the ratio of estrogens and androgens.

OBJECTIVE

To determine changes in the state of sex hormones in women with inflammatory diseases of ovaries associated with opportunistic urogenital flora.

MATERIALS AND METHODS

136 women aged 18-39 yr participated in this cross-sectional clinical study. They were examined with the use of a complex of clinical, laboratory and instrumental methods of examination. The patients with confirmed diagnosis of inflammatory disease of reproductive system associated with opportunistic urogenital infection have been under blood analysis to reveal the concentration of follicle-stimulating hormone, luteinizing hormone, and estrogens.

RESULTS

After the treatment the functional capacity of ovary significantly increased, proved by a corresponding increase in the concentration of estradiol hormone in blood serum in all phases of menstrual cycle. According to estradiol in follicular phase its concentration was increased from 421.8±10.8 nmol/L to 581.3±10.2 nmol/L. The elevation in the ratio of estradiol/testosterone hormones in blood serum also is demonstrated.

CONCLUSION

Inflammatory diseases associated with opportunistic urogenital infection is responsible for a decrease of female sex hormones and the ratio of estrogens and androgens.

摘要

背景

性传播感染在女性泌尿生殖系统炎症性疾病的形成中起重要作用。这些疾病可导致女性性激素水平以及雌激素与雄激素的比例下降。

目的

确定与机会性泌尿生殖菌群相关的卵巢炎症性疾病女性患者性激素状态的变化。

材料与方法

136名年龄在18 - 39岁的女性参与了这项横断面临床研究。她们接受了临床、实验室和仪器检查等综合方法的检查。对确诊为与机会性泌尿生殖感染相关的生殖系统炎症性疾病的患者进行血液分析，以检测促卵泡激素、促黄体生成素和雌激素的浓度。

结果

治疗后卵巢功能显著增强，这在月经周期各阶段血清雌二醇激素浓度相应增加中得到证实。根据卵泡期的雌二醇水平，其浓度从421.8±10.8 nmol/L升至581.3±10.2 nmol/L。血清中雌二醇/睾酮激素比值也有所升高。

结论

与机会性泌尿生殖感染相关的炎症性疾病会导致女性性激素以及雌激素与雄激素比例下降。